| NPI | 1376861302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NV LPN12128) |
| Additional Taxonomies | 174H00000X Health Educator |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2010-05-14 |